ArticleJournal of medical systems2011
Improving the efficiency of distributive and clinical services in hospital pharmacy.
Article in Journal of medical systems, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Piloting a Hospital Pharmacy Performance Model in the Face of Province-Wide Implementation of Activity-Based Funding in Quebec Health Care Centres.The Canadian journal of hospital pharmacy · 2024Article
- Efficiency and management factors: finding the balance in Thalassaemia care centres.Health economics review · 2022Article
- Technical efficiency and its influencing factors in Malaysian hospital pharmacy services.Health care management science · 2019Article
- The impact of healthcare reform on the efficiency of public county hospitals in China.BMC health services research · 2017Article
- Importance of Statistical Evidence in Estimating Valid DEA Scores.Journal of medical systems · 2016Article
- Technical efficiency and productivity of Chinese county hospitals: an exploratory study in Henan province, China.BMJ open · 2015Article
- Unified performance evaluation of health centers with integrated model of data envelopment analysis and bargaining game.Journal of medical systems · 2012Article
- Should key performance indicators for clinical services be mandatory?The Canadian journal of hospital pharmacy · 2011Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Three problems impede the assessment of hospital pharmacy efficiency. First, although multiple efficiency indicators are utilized to measure a large variety of activities, it has not been possible to validly measure overall efficiency. Second, there have been no widely-used clinical activity indicators, so key outputs often have not been accounted for. Third, there has been no effective methodology for identifying when declines in efficiency are normal random variations and when they represent true decreases in performance. This paper presents a procedure that simultaneously addresses these three problems. It analyzes data from a group of U.S. hospital pharmacies that collect an inclusive set of clinical and distributional indicators. It employs Data Envelopment Analysis to develop comprehensive efficiency measures from the numerous outputs and inputs. It applies statistical Panel Data Analysis to estimate confidence intervals within which each pharmacy's true efficiency resides, and to develop control charts for signaling when a pharmacy's efficiency has declined by more than can be attributed to random variation. This integrated efficiency evaluation system is transferable to other hospital pharmacy systems, thereby offering decision makers a better way of measuring, controlling and improving hospital pharmacy efficiency.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.